Individual
BEVERLY ANNE ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WOODBINE PL, UNIT 775, LONGVIEW, TX 75601-2912
(903) 237-2315
(903) 757-8294
Mailing address
107 WOODBINE PL, UNIT 775, LONGVIEW, TX 75601-2912
(903) 237-2315
(903) 757-8294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
64367
TX
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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